Active NPI
Camille Ellimac-Raheem, LPC
- Professional Counselor
- Naperville, IL
National Provider Identifier
1558092767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.019291
- Practice address
- 900 E Diehl Rd Ste 101
Naperville, IL 60563-2394 - Phone
- (630) 428-7890
- NPI assigned
- Jun 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.019291 | IL | Primary |
| Mental Health Counselor | 101YM0800X | 178.019291 | IL |
Addresses
Primary practice location
900 E Diehl Rd Ste 101
Naperville, IL 60563-2394
Mailing address
PO Box 4911
Naperville, IL 60567-4911
Phone (630) 877-8602
Other practice location 1
1325 Remington Rd
Schaumburg, IL 60173-4834
Phone (847) 654-9996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019291 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Mental Health | Current | Accepting new patients |
Locations
900 E Diehl Rd
Ste 101
Naperville, IL 60563
Phone (630) 328-0134
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1558092767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4911",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605674911",
"telephone_number": "630-877-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E DIEHL RD STE 101",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632394",
"telephone_number": "630-428-7890"
}
],
"practiceLocations": [
{
"address_1": "1325 Remington Rd",
"address_purpose": "LOCATION",
"city": "Schaumburg",
"state": "IL",
"postal_code": "601734834",
"country_code": "US",
"telephone_number": "847-654-9996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIMAC-RAHEEM",
"first_name": "CAMILLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-19",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019291",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.019291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.